Resumo

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Enquadramento: A prevenção da recorrência de comportamentos suicidários em adolescentes é fundamental dada a sua dimensão, natureza repetitiva e o risco acrescido de morte por suicídio.
Objetivos: Identificar a evidência científica atual e disponível sobre as intervenções psicoterapêuticas dirigidas a adolescentes com comportamentos suicidários e conhecer a eficácia dessas intervenções ao nível da ideação suicida, depressão e repetição do comportamento suicidário.
Metodologia: Revisão integrativa da literatura, através de pesquisa em bases de dados bibliográficas online, com os descritores de pesquisa selecionados, no período de publicação de janeiro de 2007 a dezembro de 2016, em inglês, com referências disponíveis e artigos em texto integral.
Resultados: Dos 1.847 artigos encontrados, foram incluídos 10 estudos com adolescentes com comportamento suicidário, alvo de intervenção psicoterapêutica, com resultados positivos com a intervenção cognitivo comportamental com psicoeducação para adolescentes e familiares, intervenção comunitária, terapia dialético comportamental e terapia da mentalização ao nível dos outcomes definidos.
Conclusão: Identificaram-se intervenções psicoterapêuticas com eficácia, mas a heterogeneidade dos estudos exige uma análise e comparação cuidadas das amostras, metodologias e intervenções avaliadas.


Palavras-chave

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prevenção primária; suicídio; adolescente; revisão

Ali Alavi, M. D., Sharifi, B., Ghanizadeh, A., & Dehbozorgi, G. (2013). Effectiveness of cognitive-behavioral therapy in decreasing suicidal ideation and hopelessness of the adolescents with previous suicidal attempts. Iranian Journal of Pediatrics, 23(4), 467-72. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3883378/
Asarnow, J. R., Baraff, L. J., Berk, M., Grob, C. S., Devich- Navarro, M., Suddath, R., … Tang, L. (2011). An emergency department intervention for linking pediatric suicidal patients to follow-up mental health treatment. Psychiatric Services: A Journal of the American Psychiatric Association, 62(11), 1303-1309. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3251923/.
Asarnow, J. R., Berk, M., Hughes, J. H., & Anderson, N. L. (2015). The SAFETY Program: A treatment-development trial of a cognitive-behavioral family treatment for adolescent suicide attempters. Journal of Clinical Child & Adolescent Psychology, 44(1), 194–203. Recuperado de https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4289426/
Centre of Research Excellence in Suicide Prevention. (2015). Care after a suicide attempt. Recuperado de http://www.coordinare.org.au/news/mental-health-report-released-care-after-a-suicide-attempt/
Direção-Geral da Saúde. (2013). Plano Nacional de Prevenção do Suicídio 2013/2017. Recuperado de https://www.dgs.pt/documentos-e-publicacoes/plano-nacional-de-prevencao-do-suicido-20132017.aspx
Esposito-Smythers, C., Spirito, A., Kahler, C. W., Hunt, J., & Monti, P. (2011). Treatment of co-occurring substance abuse and suicidality among adolescents: A randomized trial. Journal of Consulting and Clinical Psychology, 79(6), 728-739. doi:10.1037/a0026074
Gonzales, A. H., & Bergstrom, L. (2013). Adolescent non-suicidal self-injury (NSSI) interventions. Journal of child and Adolescent Psychiatric Nursing, 26, 124–30. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/23607824
Green, J. M., Wood, A. J., Kerfoot, M. J., Trainor, G., Roberts, C., Rothwell, J., … Harrington, R. (2011). Group therapy for adolescents with repeated selfharm: Randomised controlled trial with economic evaluation. BMJ, 342(682). doi: 10.1136/bmj.d682
Hawton, K., Witt, K. G., Taylor-Salisbury, T. L., Arens man, E., Gunnell, D., Hazell, P., … van Heeringen, K. (2015). Pharmacological interventions for self-harm in adults. Cochrane Database of Systematic Reviews 6(7). Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/26147958
Hazell, P. L., Martin, G., McGill, K., Kay, T., Wood, A., Trainor, G., & Harrington, R. (2009). Group therapy for repeated deliberate self-harm in adolescents: Failure of replication of a randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 48(6), 662-70. Recuperado de http://www.sciencedirect.com/science/article/pii/S0890856709600952
Higgins, J., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions: Version 5.1.0. The Cochrane Collaboration. Recuperado de http://handbook.cochrane.org/
Hvid, M., Vangborg, K., Sorensen, H. J., Nielsen, I. K., Stenborg, J. M., & Wang, A. G. (2011). Preventing repetition of attempted suicide-II. The Amager Project, a randomized controlled trial. Nordic journal of psychiatry, 10. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/21171837.
King, C. A., Gipson, P. Y., Horwitz, A. G., & Opperman, K. J. (2015). Teen options for change: An intervention for young emergency patients who screen positive for suicide risk. Psychiatric Services, 66(1). doi:10.1176/appi.ps.201300347
Mehlum, L., Tormoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., … Groholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: A randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53(10), 1082-1091. Recuperado de http://www.sciencedirect.com/science/article/pii/S0890856714004997
Ougrin, D., Tranah, T., Stahl, D., Moran, P., & Asarnow, J. R. (2015). Therapeutic interventions for suicide attempts and self-harm in adolescents: Systematic review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 97–107. Recuperado de http://www.sciencedirect.com/science/article/pii/S089085671400731X
Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51(12), 1304-1313. e3. Recuperado de http://www.sciencedirect.com/science/article/pii/S0890856712007368
The Joanna Briggs Institute. (2014). Joanna Briggs Institute reviewers’ manual: 2014 edition. Adelaide, Australia: Author. Recuperado de http://joannabriggs.org/assets/docs/sumari/ reviewersmanual-2014.pdf
Wright-Hughes, A., Graham, E., Farrin, A., Collinson, M., Boston, P., Eisler, I., … Cottrell, D. (2015). Self-harm intervention: Family therapy (SHIFT), a study protocol for a randomised controlled trial of family therapy versus treatment as usual for young people seen after a second or subsequent episode of self-harm. Trials, 16, 501. Recuperado de https://www.ncbi.nlm.nih.gov/pubmed/26537599